Scapular Fracture
What is a Scapular Fracture?
A scapular fracture is a break in the scapula (shoulder blade), which is relatively rare and usually results from high-energy trauma like vehicular accidents or significant falls.
- Fracture of the shoulder blade
- Often involves significant force or trauma
Overview of the Condition
These fractures may involve the body, spine, acromion, coracoid, or glenoid of the scapula. Treatment depends on fracture location and displacement.
Symptoms
- Severe posterior shoulder pain
- Bruising and swelling over scapula
- Difficulty with arm movement
Causes
High-energy blunt trauma, direct blows to the scapula, or falls from height can cause scapular fractures.
Diagnosis
X-rays identify the fracture, but CT scans provide detailed imaging to guide surgical planning if needed.
Treatment Options
- Conservative treatment (sling) for non-displaced fractures
- Surgical fixation for significantly displaced or intra-articular fractures
- Physical therapy to restore shoulder function
Conservative Management
Most scapular fractures are minimally displaced and can be managed with immobilization in a sling, followed by gradual rehabilitation.
Rehabilitation Exercises
- Passive range-of-motion exercises after initial immobilization
- Progressive active exercises once fracture shows signs of healing
- Strengthening of rotator cuff and scapular stabilizers
Surgical Options
ORIF is indicated if the glenoid surface is disrupted or if significant displacement compromises shoulder stability.
Anatomy Overview
The scapula consists of the body, spine, acromion, coracoid, and glenoid. Fractures can occur in any of these regions, each affecting shoulder mechanics.
Affected Areas
- Scapular body
- Acromion or coracoid processes
- Glenoid fossa
Frequently Asked Questions
| Question | Answer |
|---|---|
| How common is a scapular fracture? | They are relatively rare compared to other shoulder fractures, often associated with high-energy trauma. |
| How long is the recovery period? | Healing typically takes 6-12 weeks, with gradual rehabilitation to restore function. |
Prevention Strategies
- Use seat belts and protective gear
- Avoid high-risk behaviors leading to severe trauma
- Maintain bone health